HomeMy WebLinkAboutSUB CONTRACTORS AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES SCANNED
Building & Code Compliance Division BY
'missSt. Lucie Count%,
----- -- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
19055
EC #0002956
JAK, INC. D/B/A APPLEBEE ELECTRIC have agreed to be the
(Company Name/Individual Name)
ELECTRICAL Sub -contractor for GLOMASTER SIGN CO.
(Type of Trade) (Primary Contractor)
For the project located at 10760 S. US HWY 1, FT. PIERCE, FL / 3414-501-5002-200-9
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: JAK, INC. dba APPLEBEE ELECTRIC
Address:
City/State/Zip:
Phone:
P. O. BOX 15
FT. PIERCE, FL 34954-0015
(772) 466-7930 email: applebeeelectric@bellsouth.net
OHN M. APPLEBEE
OF FLORIDA, COUNTY OF
Ll
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _ DAY OF ' VS 20
BY 1J1yN I u WHO IS 9NALLY K WN OR HAS
PRO CED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
PRINT
(STAMP)
Oar 24, Notary Public State of Florida
" Tracie L Lamb
My Commission EE 159114
or no� Expires 0112572016